TRACY LYNN MIOTKE (NPI# 1669957536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669957536 |
| Entity Type | Individual |
| Full Name | TRACY LYNN MIOTKE |
| Credential | MT |
| Practice Address |
310 E Sebree St Dillon MT 59725-2733 |
| Mailing Address |
125 S Washington St Dillon MT 59725-2555 |
| Practice Telephone | 4069252220 |
| Mailing Telephone | 4069252220 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT-LMT-LIC-1403 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
310 E SEBREE ST |
| City | DILLON |
| State | MT |
| Zip Code | 59725-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998508 | Sarah Riebel | Physical Therapy Assistant | 30 State Highway 91, Dillon, MT 59725 | 2020-06-26 |
| 1508397761 | Tawni Harper | Occupational Therapist | 600 State Hwy 91 South, Dillon, MT 59725 | 2017-03-21 |
| 1437532173 | Meghan Combs | Internal Medicine | 600 Mt Hwy 91 S., Dillon, MT 59725 | 2015-06-30 |
| 1962830232 | John B Mccollum | Dentist | 110 S. Idaho Street, Dillon, MT 59725 | 2013-10-24 |
| 1578817789 | Krista Maness | Counselor | 610 N Montana St Ste 10, Dillon, MT 59725 | 2012-11-09 |
| 1891079224 | Montana Migrant and Seasonal Farmworker Council, Inc. | Clinic/Center | 116 N Washington St, Dillon, MT 59725 | 2011-10-04 |
| 1407145527 | Latresha G. Garrison | Counselor | 23 S. Idaho #2, Dillon, MT 59725 | 2011-03-29 |
| 1457657009 | The Legacy Assisted Living LLC | Assisted Living Facility | 1000 Hwy 91 South, Dillon, MT 59725 | 2011-01-31 |
| 1548495518 | Jamie L Koett | Hospitalist | 600 Hwy 91 South, Dillon, MT 59725 | 2009-05-20 |
| 1164666889 | Justin Howard Rhodes | Student in an Organized Health Care Education/Training Program | 327 E. Helena St, Dillon, MT 59725 | 2009-04-24 |
| Find all providers in zip 59725 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871984351 | Janette Cutts | Massage Therapist | 724 A East Anemone Trail, Dillon, CO 80435 | 2015-02-05 |
| 1346658085 | Elaine Spicer | Massage Therapist | 263 Schuler Ln, Dillon, MT 59725-8240 | 2014-07-25 |
| 1811307424 | Rachel L Allen | Massage Therapist | 40 Glen Cove Drive, Dillon, CO 80435-6700 | 2014-05-05 |
| 1659870095 | Molly Anne Viall | Massage Therapist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2018-02-11 |
| 1477927002 | Amanda Leigh Wendt | Massage Therapist | 221 S Idaho St, Dillon, MT 59725-2529 | 2015-11-19 |
| 1528363470 | Jennifer Anderson | Massage Therapist | 325 Lake Dillon Drive, Ste 104, Dillon, CO 80435 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548217 | Sarah Elena Barrios | Massage Therapist | 101 Paisley Ct Apt A, Bozeman, MT 59715-7327 | 2020-11-05 |
| 1457950214 | Tyree Leigh Dutton | Massage Therapist | 639 Helena Ave Ste B, Helena, MT 59601-3607 | 2020-10-22 |
| 1922606565 | Abigail Yarus | Massage Therapist | 204 Dewey Ave, Eureka, MT 59917-9046 | 2020-10-15 |
| 1366058448 | Kristina M Williams | Massage Therapist | 101 E Center St Ste 203, Kalispell, MT 59901-4079 | 2020-09-23 |
| 1821604042 | Amanda Rose Knorr | Massage Therapist | 900 N Montana Ave Unit B1c, Helena, MT 59601-3845 | 2020-09-22 |
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1982216834 | Rosemary A Stoudt | Massage Therapist | 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 | 2020-08-21 |
| 1447861703 | Kelli Facundus Black | Massage Therapist | 195 Boyer St, Plains, MT 59859-5985 | 2020-08-11 |
| 1295344570 | Jodi Alexander | Massage Therapist | 670 King Park Dr Ste 8, Billings, MT 59102-6257 | 2020-07-23 |
| 1881211498 | Jessica Elaine Powers | Massage Therapist | 228 Senator St, 228 Senator St. Ekalaka, Ekalaka, MT 59324 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.